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245547 (BLCK)BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL neiA'R SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM 0 FAN 0 EVAP. COOL O HOOD DEPARTMENT OF BUILDING & SAFETY 1 COUNTY OF RIVERSIDE III NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) DST /l 7 APPLIANCE GARBAGE DISPOSAL FURNACE El UNIT 0 WALL 0 FLOOR 0 SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM O FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ a BATH TUB SQ FT @ a WATER HEATER SOFT RESID @ le SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE is PERMIT FEE PERMIT FEE PERMIT NO. TOTAL FEES On MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE I CONST. FEE DBL. ELECT. FEE DBL. I SMI FEE I FEE PLUMB. FEE DBL. J I F I M A I M I J I J A I $ 1 Q 1 N D JOB ADDRESS_ .e+� SP NO • .l1�iHC OWNE.R d4 73 74 USE OF PERMIT F.C. JDATE P MIhNy �y 75 M H PERMIT FEE $ COMMUNITY AIA 4'P5,110*4/rA FDSTFU'NITS ROOMS I VALUATION ISUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION 6 MECHANICAL FEE DBL $ SET BACK LOT SIZE IZONE���yyy 91- USE NO. JGRP TYPE ICK BY F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE /� �! _ / INSPECTOR I _ Y CONSTRUCTION FEE DBL $ '- too NAME OF CONST. LENDER. BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA• TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. . I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOY EES..COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. i FEE$ PLUMBING FEE DBL $ TOTAL FEES Q [� OWNER/AGENT'S SIGNATURE CONTI14elOe/ f'j ^ / f` -u �A1 f% � ,Zz nz `! CASH CHECK F M.O. N.C. ADDRESS ADDRESS ! % l r✓ f RECEIVED BY t�F TREES REQUIRED r - SEWAGE SYSTEM LL P CITY ZIP CODE CITY ZIP CODE �° ? �41A-j f y 5rA t" L '4! / ! INFORMATION I ORM 284.208 1Rm 9.731 ©s TEL. NO. TEL. NO.LICENSE` f ✓